Social and Behavioral Sciences Commons^™

A Dimensional Analysis Of Caregiver Burden Among Spouses And Adult-Children, Marie Savundranayagam, R. Montgomery, K. Kosloski

Marie Y Savundranayagam

Purpose of the study: Caregiver burden is a multidimensional construct, addressing tension and anxiety (stress burden), changes in dyadic relationships (relationship burden), and time infringements (objective burden) resulting from caregiving. The study aims were to assess (a) whether the dimensions of burden were the same for caregiving spouses and adult children, (b) the role of assisting with problem behaviors (PBs) and activities of daily living (ADLs) on each dimension of burden, and (c) the role of each dimension of burden on self-rated health and intention to institutionalize the care receiver. Design and Methods: This study included 280 spouse/partner and 243 …

Impact Of A Psychoeducational Program On Three Types Of Caregiver Burden Among Spouses, Marie Savundranayagam, R. Montgomery, K. Kosloski, T. Little

Marie Y Savundranayagam

Abstract Purpose The purpose of this study was to investigate the extent to which a psychoeducational intervention called “Powerful Tools for Caregivers” (PTC) influences burden of spouse caregivers. Specifically, this study examined whether spouse caregivers who attended PTC exhibited reductions in stress burden, relationship burden, and objective burden compared to a comparison group.

Design and Methods The 6 week intervention used a self-efficacy framework to train caregivers to focus on self-care, communicate effectively, and manage emotions. This quasi-experimental study included 115 participants from the PTC group and 95 participants from a comparison group. Assessments were completed before and after the …

Testing Self-Efficacy As A Pathway That Supports Self Care Among Family Caregivers In A Psychoeducational Intervention, Marie Savundranayagam, M. Brintnall-Peterson

Marie Y Savundranayagam

This study investigated the extent to which a psychoeducational intervention supports family-centered care by influencing health risk and self-care behaviors of caregivers of individuals with Alzheimer's disease (N = 325). Moreover, this study investigated the extent to which changes in self-efficacy explained changes in health risk and self-care behaviors. Data were analyzed using repeated measures and multivariate analysis of variance and multiple regression. Qualitative written accounts of the impact of the intervention augmented the quantitative findings. The study's findings revealed that family caregivers experienced reductions in health risk behaviors and improvements in exercise, stress management, and relaxation activities as a …

Impact Of Role Discrepancies On Caregiver Burden Among Spouses, Marie Savundranayagam, R. Montgomery

Marie Y Savundranayagam

Using caregiver identity theory, the authors investigated whether role discrepancies mediated the relationships between illness-related stressors (activities of daily living [ADLs] limitations and problem behaviors) and burden (stress, relationship, and objective burden) for spouse caregivers. Participants completed measures of identity standards for spouse and caregiver roles and behaviors, burden, assistance with ADLs, and problem behaviors. Structural equation modeling analyses revealed that role discrepancies completely mediated the relationships between ADLs and stress and relationship burden. Although role discrepancies mediated the relationships between problem behaviors and all forms of burden, there were direct relationships between problem behaviors and burden. Finally, participants who …